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FLOCK A FRIEND ORDER FORM 7-6-11

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FLOCK A FRIEND ORDER FORM 7-6-11 Powered By Docstoc
					     FLOCK A FRIEND
                                  ORDER FORM
PERPETRATOR’S NAME: ___________________________________________________
PERPETRATOR’S PHONE NUMBER: _________________________________________


NAME OF “VICTIM” TO BE FLOCKED: ________________________________________
VICTIM’S PHYSICAL ADDRESS (PLEASE NOTE FLOCKINGS ONLY TAKE PLACE
WITHIN THE MISSOULA CITY LIMITS AND ARE NOT SET UP ATBUSINESSES OR
APARTMENT COMPLEXES): ________________________________________________
_________________________________________________________________________
WHAT DAY AND TIME/TIMEFRAME WOULD BE BEST TO SET UP THE FLOCKING
WHEN THE VICTIM IS NOT HOME? ___________________________________________
_________________________________________________________________________
_________________________________________________________________________
ARE THERE ANY OUTSIDE PETS? YES / NO                                  IS THERE EASY ACCESS TO THE
YARD? YES / NO
PAYMENT TYPE: ONLINE DONATION / CHECK / CASH / PHONE ORDER
       ----------------------------------------------------------------------------------------------------------------

ANIMEALS STAFF ONLY BELOW:
PAYMENT CONFIRMATION: YES / NO PAYMENT AMOUNT: $___________________
PAYMENT CONFIRMATION DATE: ________________
ANIMEALS STAFF INITIALS: __________

				
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